Before you start using Ryaltris, talk to your doctor about:, All the prescription and nonprescription medications you use, including other nasal sprays and allergy products, Your allergies, Your current health conditions and past medical history, Your pregnancy status, Your breastfeeding status, Do not drive, operate machinery, or participate in other potentially hazardous activities until you know how Ryaltris affects you., Ryaltris can cause nosebleeds, nasal ulceration, septal perforation, impaired wound healing of the nose, and local infections of the nose and pharynx., Ryaltris can cause vision problems such as glaucoma and/or cataracts., Ryaltris can suppress the immune system, which can increase the risk of infections or worsen infections., Ryaltris can cause the body to have too much cortisol or prevent the adrenal glands from making enough cortisol, especially when using more than the recommended dose of Ryaltris., Ryaltris can affect growth in pediatric patients; therefore, this medication should not be administered to pediatric patients who are younger than 12 years of age. All the prescription and nonprescription medications you use, including other nasal sprays and allergy products, Your allergies, Your current health conditions and past medical history, Your pregnancy status, Your breastfeeding status